Acute post-operative edema. A major morbidity after hair transplant.

Abstract

Objectives: To evaluate the efficacy of different  modalities for the prevention of post-operative edema in patients undergoing hair transplant. Study Design: Prospective study. Place and Duration of Study: Department of Plastic Surgery, Bashir Hospital (private), Sialkot from March 2016 to April 2018. Patients and Methods: Male patients with typical male baldness patterns were serially included in the study. Informed consent was taken both for the surgery and purpose of research. Patients were followed up daily for one week to assess the post-operative edema. However patients were also called for follow up after three months to see the late complications. Patients not giving consent for the study were excluded from the data. Data was entered and analysis done by SPSS v 22. Results: Total 97 patients were operated. Two groups A&B each of 45 and 57 patients were selected randomly. Group A which was administered tumescent solution including steroid showed maximum prevention of edema, success rate (93.3%). Group B having oral steroid course postoperatively for 5 days showed less promising results with success rate of (57.8%). Conclusion: The results of this study revealed that addition of steroid (Triamcinolone) to the tumescent solution had more promising results regarding the prevention of post-operative edema.